Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $44.80 / $46.40	Professional		$44.80	$44.80	$46.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $67.73 / $303.27	Professional		$0.02	$67.73	$303.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,682.26 / $2,429.92 / $3,757.25	Facility		$1,682.26	$2,429.92	$3,757.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,682.26 / $2,523.39 / $4,150.05	Professional		$1,682.26	$2,523.39	$4,150.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05